Lifestyle Health Centre offers our patient form(s) online so you can complete it in the convenience of your own home or office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Forms

Please print the form that applies to you and fax it to our office at 604-881-1196 before your first appointment, so that the doctor can review your information before seeing you.

Chiropractic Intake Form

Footcare Questionnaire (for gait scan)

Registered Massage Therapy Intake Form

Naturopathic Adult Intake Form

Naturopathic Pediatric Intake Form

For Acupuncture Intake Forms, go to www.acubalance.ca and click on "consult forms" and print the one that most fits your reason for coming.